“…This unavoidably leads to the customary employment of antimicrobials for both prophylactic and therapeutic purposes, resulting in a strong selective pressure that favors the emergence and selection of AMR strains, and the subsequent dissemination of the AMR traits through mobilizable elements via various routes (food, feed, environment) [60,[63][64][65]. To date, no antibiotics have been specifically designed for the exclusive use in aquaculture; thus, antimicrobial compounds destined to other sectors of the human and veterinary medicine are improperly used in the aquaculture context, enhancing dramatically the impact of AMR onset and diffusion [60,61]. Six of the antibiotic classes listed by the World Health Organization (WHO) as critically important for human medicine (aminoglycosides, macrolides, penicillins, quinolones, sulphonamides, and tetracyclines) are commonly employed in both terrestrial and aquaculture husbandries, resulting in an enormous contribution to the reduced efficacy of such compounds in the treatment of human-relevant infections [60,61,66,67].…”